Saturday, November 14, 2009

Code Blue.. bllurrgghhh....

Number for Code Blue: 8899 in IJN.
( to be less jargonic: somebody collapsed in the hospital and requiring immediate attention by the oncall people)
The announcement came at about 330am.. I was not really sleeping as phone calls kept coming in from ICU and CCU to inform me about this and that..
" CODE BLUE... and it just went blurrish... alamak.. which ward la? Quickly i went out of my room and went to the ICU B counter and immediately on seeing me they told me its DAHLIA.. and ok.. Dahlia.. where is it again? ( my orientation in IJN is still semi-clear as my stint here is mainly in the OT and ICL)

I ran up the stairs and yup.. the CTS registrar was already there with CPR already been started and my job here now... airway protection! Immediately after my arrival all the other registrars arrive and as per ACLS, one of them became the team leader. The intubation was fairly difficult.. but i managed to secure it ASAP and the whole chain of survival process began.. even in IJN; situations like this it can be a bit kelam kabut but I must say it is definitely more organized than the resuscitation efforts I've done before in my life. Everybody knew their role and there was no conflict of command. the different thing about here was : "vasopressin 40 units was available.. whooaahh.. i became jakun a bit to see it..
We revived her rhythm back after 30 minutes of CPR with 2 shocks in between when the rhythm just went VF. Seeing this i reckon, with proper training and supervision; it is possible to achieve a comprehensive CPR upon patients who can be revived at that time; this minus the survival rate anyway..
And what can be more of an experience when you are called to give anaesthesia at 2am for a Day 2 TOF corrrection who was very unstable with all the inotropes ( includes vasopressin and levosimendan which I;ve never seen in my life before!!) that we had to reopen his chest in PICU? simply priceless...

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